Trauma & major bleeding

Low Titer Group O Whole Blood In Injured Children Requiring Massive Transfusion

Ann SurgPublished Prospective observational study

Main finding · 28-day survivalResult — go to the resultAdjusted odds ratio 0.41 event not clearly stated

Authors' conclusion

Administration of LTOWB during the hemostatic resuscitation of injured children requiring massive transfusion was independently associated with improved 72-hour and 28-day survival.

Study context

Population
Injured children aged 1 to 17 years receiving >40 mL/kg of LTOWB and/or conventional components over 24 hours after admission (massive transfusion)analysed
Participants
80 children
Exposure
LTOWB as part of hemostatic resuscitation vs component therapy
  • LTOWBn = 27
Outcome
28-day survival
Follow-up
28 days
Methodological detailssingle-centre, urban academic pediatric Level 1 trauma center
  • Single-centre
  • Urban academic pediatric Level 1 trauma center

Main finding

As reported in the abstract

Adjusted odds ratio

0.41

event not clearly stated

P = 0.02

Observational data: associations, not effects.

Further findings

OutcomeaORP value
72-hour survival · significantly improved survival with LTOWB; adjusted0.23P = 0.009
6-hour survival · not statistically significant0.51P = 0.30

Hospital LOS, ICU LOS, ventilator days (28-day survivors)

Reduced in LTOWB vs CT

Original publication

Low Titer Group O Whole Blood In Injured Children Requiring Massive Transfusion. Ann Surg. Published 8 October 2021. doi:10.1097/sla.0000000000005251

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